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Home My WebLink About91-1608 ."~ :';, -': / ~",:i.,;.,,~.,: ',' t" _ ' ').J#.!'~",~:..:.:.~'I;,r...>;*,.., ...', \.,., ,~_~,...r" Jt:,~.\~'f~'''~--' ';'4,";J!f.;"'!{1r;.,"~ "-.~~,'.~',,,.L:'~'~f;~~i." ,~ '."',~..:..i,<: STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 160sB T~~ ~~~_u:// Date~G ~ c2S- 7/ ELECTRICAL -- ~ ME~L Property Owners Name: ~/'~<) Job Address: ~? <F 7 0 ~S -- {J2'L;.A v~ / ~ .;d .-I. t:1~- LegalOescription: Sub.Div. Lot Blk. Zoning CI: Description of wor~7 p AA~/ Energy Code Readout: ~ (o-Z7-,' fl~ Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE #,A'J?'7':"'--q-U. </J Fee: cS tJ, SIGNATURE COMPANY ADDRESS TELEPHONE # /JAlt?/{!t{ -../ Estimated Cost: .;) .3 0,V. c--u All work shal! be performed in accordance with the above and all City Codes and Ordinances. SLB Tub Set Water Sewer Final .Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of. U (S I' eO) dollars shall be made for each"'. 7'r4.d..e. (16-' trV) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICANT APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMEN ADDRESS OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. # // ~~pair _Install WORK PROPOSED:_New Construction _Addition ~lteration _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _~~ of Uni ts __M/H _Commercial _Indust. _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H **COPY OF CONTRACT REQUIRED. ,,/ :2.3 5() ..--:F.RMTTS REOUESTED $~ ' Valuation of Total Construction ~DING _ELECTRICAL AMP Service Florida Power Corp. _W.R.E.C. _NECHANICAL $ _PLUMBING GAS Valuation of Mechanical Installation ~OFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature BUILDER CONTRACTOR SECTIO~ Company ! State Cert. or Regist. # City License Registration # ****************************************** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Sil?:nature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions. which may be more restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeteanor violation under state la~. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner. prior to cOlmencelent. ~. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be perforled to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is IY responsibility tel identify what actions I lust take to be in cOllpliance. Such agencies include but ille not li.ited to: . Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks . US Environlental Protection AQency - Asbestos abatetent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood thilt a drainage plan addressing a "colpensating volule" will be sublitted which is prepared by a professional engineer registej~d in the State of Florida prior to pertit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioiilte, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, Dr violations of any code. Every per.it issll~d ~hall becole invalid unless the work authorized by such perlit is commenced within six months of issuance, or if work authDrlzed by the per.it is suspended or abandoned for a period of six lonths after the tile the ~ork is cOlmenced. One 90 day ~~tensioli of tile, lay be allowed for the permit with fee charge of $15.00. The extensi~n shall be requested in writing to the Building Official. An approved inspection lust be logged during each six month period, or the project will be considered aballdoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS ,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC SIGNATURE - OWNER OR AGENT DATE____~~~~_=--~~_------------------- NOTARY AS TO ---", ~ . \~-\ c OWNER OR AGENT~~~~~\_ l!IQ.u..BY P~L1C. STATE OF FLORIDA. MY COMMISSION EXPIiH~MMISSION EXPIRES: APRIL 5.1993. BON"&:DTHRiTNc5't""o1Yl'tllll..~ERWftI't'- SIGNATURE DATE________ -- ----N&T"'RY."f>t:tfltte;~TATE"OFrLORI DA My commission expires Jan. 28 1995 Y COMM 155 I ON EX P I R&!!<!.e9_t!:!tU_e.IUWLU)n~.sac.h1 Aaency